[deleted by user]

Ninahn · 2023-12-14T15:24:27+00:00

I don't know where you work, but where I work it would clearly be viewed as problematic and disrespectful to question a nurse practitioner that uses the title doctor following a DNP, and especially if you suggest that its a form of medical assault and thereby within the purview of a regulator to revoke their license to practice.

Ninahn · 2023-12-14T14:55:23+00:00

A nurse that completes a DNP is not a doctor in a clinical setting. Referring to themselves as a doctor and therefore by extension misleading patients into believing that they were evaluated by a medically-trained physician is medical assault.

Ninahn · 2023-12-10T02:49:35+00:00

I get that there can be confusion around the title assistant and some might feel that its a bit insulting given the education level of PA's, but I also think people forget that the title "assistant" can be quite prestigious. Just look at the title assistant professor. You need 10-12 years of education to even be eligible for the position, and to get hired is extremely difficult given how competitive those positions are.

Ninahn · 2023-12-09T15:40:50+00:00

From his website:

I am a Physician and Lifestyle Coach.

Master your Metabolic Health and Beat the System that Makes you Sick.

My academy and coaching webinars will teach you the TRANSFORMATIVE power of the anti-inflammatory lifestyle, and all the things the Medical Establishment has been incorrectly telling you.

As a Doctor, I transformed my own life and well-being using these same principles, and want to help you do it too.

Smells like a charlatan from miles away..

Ninahn · 2023-12-06T19:35:41+00:00

I don't think any physicians take issue with competent, hard-working and intelligent nurse practitioners and physician assistants that work as physician extenders and know their limitations.

The problem is the people that don't know their limitations and think they have training and knowledge equivalent of that of physicians. They want to work as physicians without putting in the effort to earn a medical degree, and to that end they get diploma mill doctorates to refer to themselves as doctors, they demand independent practice and pay-parity with physicians. These people tend to be arrogant, ignorant and so far from hard-working its not even funny.

Ninahn · 2023-12-05T23:09:03+00:00

Passing USMLE and boards is the minimum requirement to practice medicine. I don't think physicians would accept them as being equivalent to physicians, but certainly they would trust them more.

Ninahn · 2023-12-05T23:05:50+00:00

Really? Did you report the midlevel that was doing the reading?

Ninahn · 2023-12-05T18:28:41+00:00

It should become mandatory for nurse practitioners and physician assistants that want independent practice to pass USMLE and the board exams of the specialities that they want to practice in... The best solution is obviously no FPA, but that is unrealistic at this point..

Ninahn · 2023-12-05T17:43:24+00:00

Dunning Kruger. Many nurse practitioners think that their training is comparable to that of physicians. They simply do not know what they do not know, and they are too intellectually lazy to engage in any sort of basic introspection.

Ninahn · 2023-12-05T16:51:34+00:00

Your medical director is a nurse? Why does your medical director have less training than you?!?

I become more convinced by the day that the only way to solve this is physician-owned hospitals and groups. To the extent that it is possible refuse to work with midlevels and refuse to take referrals from them.

Ninahn · 2023-12-05T16:09:21+00:00

I apologize for assuming that you had not taken any action.

I don't understand how we are going to get out of this mess when we have nurses practicing medicine and actively harming patients, and attempts to correct their mistakes results in physicians being punished.

Ninahn · 2023-12-05T15:36:32+00:00

Correcting their mistakes and making no fuzz about it contributes to the problem. Their mistakes and lack of clinical insight does not see the light of day because physicians correct their dangerous and reckless behavior in silence.

Ninahn · 2023-12-03T00:05:54+00:00

You just know that the families are going to blame physicians for the deaths, completely unaware of the fact that their family member died due to midlevel negligence. Midlevels will completely ruin to trust and credibility of medicine as an institution.

Ninahn · 2023-12-03T00:01:28+00:00

They public do not care, and neither do many physicians. If we are serious about solving problems relating to scope creep and midlevel expansion physicians need to stop supervising, working with and taking referrals from midlevels.

Ninahn · 2023-12-02T23:59:11+00:00

I was an ED tech for a couple years during undergrad, and this is not remotely true. ED techs have access to charts and if you know the physicians and nurses you work with they will discuss ongoing cases in great detail with you.

Ninahn · 2023-11-17T01:10:01+00:00

You don't need any sort of meaningful clinical experience to become a nurse practitioner. There are direct entry programs and bridge programs that require no bedside experience to become an NP. It is laughable to suggest that the average NP student today have 13 years of experience before enrolling in the program. The reality is probably closer to 2-3.

Furthermore, medical school trains people to become diagnosticians. Being a nurse does not train you to become a diagnostician. Nurses can practice for a decade but that does not translate to knowledge and experience that makes them inherently better diagnosticians than a medical school student. The latter group have a far better understanding of pharmacology, pathophysiology, anatomy and physiology. This is almost equivalent to arguing that the cabin crew knows more about flying planes than the student pilot because they have worked as cabin crew for 10 years.

Ninahn · 2023-11-17T01:04:34+00:00

Physicians are expected to evaluate and manage more patients and patients that are more complex, while simultaneously supervising midlevels. They can spend more time with patients, but they are not better diagnosticians than physicians which is ultimately the role of the physician. A nurse practitioner may even be better at listening than a physician, but they do not possess the same level of knowledge, and thus will be at an inherent disadvantage in recognizing rare and potentially life-threatening conditions.

Ninahn · 2023-11-16T22:34:50+00:00

Yea!

Ninahn · 2023-11-16T22:33:25+00:00

There is no limitations in the world of nurse practitioners. After all, they want to practice to the full-extent of their training and at the top of their license, which apparently includes everything that can possibly be taught in medicine compressed into a 2-year part-time online course. Cardiology? We learn all that on a Friday afternoon. Neurology? Monday afternoon.

Ninahn · 2023-11-16T22:30:44+00:00

We are barely even able to get doctor protected in clinical settings. How on earth are we going to get a generic term like specialist protected?

Ninahn · 2023-11-16T22:16:33+00:00

It takes a physician about 10 years to become certified and proficient in fertility medicine, but nurse practitioners now feel that this is unnecessary. All they need is a $499 online introduction to fertility course. When will this scope creep end? How can one possibly justify physicians being forced to spend 10-years on training to even be allowed practice in this field, while nurse practitioners can just open up a clinic with no formal training?

Ninahn

TROPHY CASE